Healthcare Provider Details

I. General information

NPI: 1467664458
Provider Name (Legal Business Name): REGINA SOEHNLEIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 05/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 WASHINGTON AVE N SUITE 5000
MINNEAPOLIS MN
55401-1377
US

IV. Provider business mailing address

333 WASHINGTON AVE N SUITE 5000
MINNEAPOLIS MN
55401-1377
US

V. Phone/Fax

Practice location:
  • Phone: 612-659-7111
  • Fax: 612-659-7101
Mailing address:
  • Phone: 612-659-7111
  • Fax: 612-659-7101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN111832
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: